[Transnasal esophagogastroduodenoscopy?].
| Autor: | Taller A; Fóvárosi Onkormányzat Uzsoki utcai Kórháza, Budapest, II. sz. Belgyógyászat. ataller@pluto.gamax.hu, Horváth E, Iliás L, Harsányi L |
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| Jazyk: | maďarština |
| Zdroj: | Orvosi hetilap [Orv Hetil] 2002 Feb 10; Vol. 143 (6), pp. 291-4. |
| Abstrakt: | Introduction: The most proper examination for the morphological changes of the upper gastrointestinal tract is endoscopy. The standard oro-gastric route is carried out under conscious sedation, but the drugs used might have cardiopulmonary side effects. Furthermore there are a few conditions when this routine endoscopy is technically impossible. Aims: Could these failures be avoided with an endoscope led through the nose? Are there advantages of the use of ultrathin endoscopes for transnasal oesophago-gastro-duodenoscopy? Patients/methods: Own experiences with transnasal therapeutic endoscopies on patients with cancer in the head and neck region compared with data from the literature. Results: Based on literature and on own experiences, transnasal oesophago-gastro-duodenoscopy may be advised in cases with trismus, stenosis of the upper aero-digestive tract, oropharyngeal dysphagia, cricopharyngeal achalasia, in several neurosurgical conditions and on severely ill ventilated patients. I.v. premedication is not always necessary for transnasal oesophago-gastro-duodenoscopy done with ultrathin endoscopes. Conclusions: The oesophagus might be accessed also via the nose, but it must be emphasized that transnasal oesophago-gastro-duodenoscopy is only advised when the standard way of upper gastrointestinal tract endoscopy is impossible. |
| Databáze: | MEDLINE |
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